Individual
MAGGIE MAUREEN TENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 W HARVEST DR, APPLETON, WI 54914-1939
(920) 570-5632
Mailing address
2115 W HARVEST DR, APPLETON, WI 54914-1939
(920) 570-5632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12009-125
WI
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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